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1)For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony

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1)For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors might contribute to tensions among these groups?

 

2. The traditional management structure of hospitals has been hierarchical and in the command-and-control style. What are three important challenges that have to be met by hospitals to accommodate managed care and how are they addressing them?

 

3. The organization and practices of modern hospitals reflect the promotion of specialization and sub-specialization by academic medical centers. What were the advantages and disadvantages to patients of increasing the number of physicians who limit their activities to narrower fields of practice?

 

4. Organizations such as the LeapFrog Group represent a growing trend to survey and report on the quality of hospital care and to make the findings available to the public.  What are your opinions about the public’s readiness to deal with having this information available and using it to make choices about medical care?

 

Multiple Choice Questions : Group activity : 

 

1. The event that contributed most significantly to the decline of the charitable or social mission of voluntary hospitals was the:

 

 

2. The ultimate responsibility for everything that happens within a hospital, including the medical and nursing care provided, rests with:

 

 

3.)A major obligation of doctors when obtaining informed consent for a medical procedure is to:

 

 

 

4.)Until the mid-1980s, hospitals were reimbursed for their expenses for the prior year on a “retrospective” basis. Now they are paid a certain amount for each patient’s care on a “prospective” basis. The amount they are paid is based on:

 

 

 

5.)Hospitals, striving to find new sources of income since the advent of prospective payment, have enthusiastically adopted:

 

 

6.)The future health care system will emphasize “vertical integration.” This means that:

 

 

7.) Hospitals in the future health care system will: